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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 435202929
Report Date: 07/14/2026
Date Signed: 07/14/2026 12:07:42 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/08/2026 and conducted by Evaluator Grace Donato
PUBLIC
COMPLAINT CONTROL NUMBER: 26-AS-20260508113420
FACILITY NAME:IVY PARK AT PALO ALTOFACILITY NUMBER:
435202929
ADMINISTRATOR:BRICE, STEPHANIEFACILITY TYPE:
740
ADDRESS:2701 EL CAMINO ROADTELEPHONE:
(650) 326-1108
CITY:PALO ALTOSTATE: CAZIP CODE:
94306
CAPACITY:97CENSUS: 84DATE:
07/14/2026
UNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Stephanie BriceTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Licensee does not ensure facility has adequate staff to meet residents' needs
Staff are not ensuring that residents are bathed
INVESTIGATION FINDINGS:
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On 7/14/2026, LPA Grace Donato conducted an unannounced complaint investigation visit. LPA Donato met with Executive Director Stephanie Brice and explained the purpose of today's visit.

Regarding the allegation of Licensee does not ensure facility has adequate staff to meet residents' needs, seven staff members were interviewed. Five out of seven mentioned that there are enough staff in the facility. Staff member (S2) mentioned that most of the time there is enough staff. S1, S2 & S3 shared that when there are call outs the managers cover, even the director comes to cover. S4 added that whenever they call for help there is always someone available. LPA also interviewed the Health and Services Director (HSD). HSD mentioned that there’s a full staff scheduled and there’s always a backup. LPA also interviewed four residents and everyone said that their needs are being met.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jackie Jin
LICENSING EVALUATOR NAME: Grace Donato
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 26-AS-20260508113420
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131
FACILITY NAME: IVY PARK AT PALO ALTO
FACILITY NUMBER: 435202929
VISIT DATE: 07/14/2026
NARRATIVE
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For the allegation of Staff are not ensuring that residents are bathed, all seven staff members who were interviewed mentioned that no showers are missed. S1 stated that it gets delayed. S2 mentioned that residents sometimes requests a different staff so showers gets delayed. S3 stated that residents refuse because they feel sick or too tired. HSD mentioned that some residents prefer specific staff so they try to accommodate the requests. According to the four residents, they haven’t missed any showers. R3 shared that he/she gets the shower scheduled unless requested otherwise.

Based on interviews, the department has determined that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

Report is reviewed and copy is provided.
SUPERVISORS NAME: Jackie Jin
LICENSING EVALUATOR NAME: Grace Donato
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2